Transcript Treatment Planning

Treatment Planning
R. Lyle Cooper, Ph.D., LCSW,
ICADAC II
Assistant Professor
University of Tennessee
College of Social Work
Treatment Planning
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Treatment planning should address all the
domains covered in assessment
Treatment includes choosing the
appropriate type of SERVICE DELIVERY
SYSTEM as well as the best THERAPUETIC
APPROACH
Also certain PRINCIPLES need to be in
place to ensure treatment success
Principles of Effective Treatment
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Early detection, including screening and
brief interventions: for non-dependent problem
drink/drug user
Comprehensive assessment and
individualized treatment plan: each client
experiences problems differently)
Care management: All elements of the problem
should be addressed and coordinated
Individually delivered, proven professional
interventions: Clients deserve treatments that
are supported by research, and treatment
providers should offer more than one
Principles Continued
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Contracting with patients: Also called
contingency management or behavior
contracting
Social skills training: Teaching clients to
manage stress and engage in prosocial
behavior
Medications: Medications improve
outcomes (not a cure)
Specialized services for medical,
psychiatric, employment or family
problems (problem to service matching)
Principles Continued
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Continuing care: Most who enter
treatment have at least one relapse
Strong bond with therapist or
counselor: Rapport is central to all
therapeutic success
Longer duration for dependent users:
90 or more days alcohol/heroin 180 or
more crack
Support groups: attendance and
participation
Strong client motivation: All
treatments relay on patient desire to
change
Exercise 1
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In small groups discuss the
principles presented above
Discuss whether all these principles
are in place at your agency
If they are not a part of the center
you work for discuss how they could
be added
Service Delivery Systems
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DETOX
Medical
Non-Medical
INTENSIVE TX
Inpatient
Outpatient
Day treatment
RESIDENTIAL
Halfway house
Therapeutic
communities
Missions
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OUTPATIENT TX
Individual counseling
Group Treatment
Conjoint Therapy
Family therapy
Multimodal
Approaches
Brief Interventions
Exercise 2
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You have been given a case-study
In small groups discuss what factors
identified in your case might cause
you to might cause you to choose
one delivery method over another
Should multiple delivery methods
be used over time? Why or why
not?
Therapeutic Approaches
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Evidence Based Practice (EBP)
Counselor
Experience
Best
Research
Evidence
EBP
Client wishes/character/
demographics
Evidence Based Practice
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There are many EBP’s available
These interventions can be
searched on the NREPP website
We as counselors have an ethical
responsibility to provide
interventions that are based in
research not just our experience
Examples of EBP
Adolescents
 A-CRA
 MRT
 MSFT
Adults
 TSF
 Brief SBCM
 Broad Spectrum
Therapy
 RPT
 Drinkers Check-up
Co-occurring Adolescent
 A-CRA
 7 Challenges
 MSFT
Co-occurring Adult
 Boston Consortium:
Trauma informed
treatment for women
 DBT
Older Adult
 Brief SBCM
 Alcohol Behavioral
Couple Counseling
Exercise 3
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In small groups review the case
study you have been given
Review the EBP interventions
described in the accompanying
sheet
Determine the appropriate
intervention for your client explain
why you chose this intervention
Documenting Treatment Planning
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Treatment Plans should be:
Collaborative: both counselor and
client agree on the course
Specific: it is clear what goals need
to be met in order to treat the
problems
Measurable: there must be a clear
goal that can be measured to
determine the success of the
intervention
Treatment Plan Example
Problem
Intervention
Outcome
Ct is unable to refuse
cocaine when offered
Drug refusal skills
administered over 6
weeks
Increased ability to
refuse as indicated by
coping skills inventory
Ct has no non-drug use
activities to fill time
Functional analysis of
pro-social behavior 2
session
Increased prosocial
activity as indicated by
happiness scale